Daniel, Susan Renea

Daniel, Susan Renea is an individual health care provider with primary practice located at 811 E Parrish Ave , Owensboro KY 42303-3258. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Daniel, Susan Renea can be contacted via phone (270) 691-8040.

Contact Information

Primary practice address
811 E Parrish Ave Owensboro KY 42303-3258
Phone: (270) 691-8040
Fax: (270) 691-8049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 3005420 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005420 Kentucky

Profile Details

NPI number 1942486014
LBN Legal business name Daniel, Susan Renea
Credentials MSN, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2008
Last updated May 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942486014 NPPES
Kentucky Other 000000617640 COOP HEALTH BCBS #
Kentucky MEDICAID 7100039400 COOP HEALTH BCBS #
Kentucky Other 000000586343 COOP HEALTH BCBS #
Kentucky Other 0992322 COOP HEALTH BCBS #

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